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Complex Care Management Program Overviews: General
Complex Care Management Program Overviews: General

... Aetna has developed a Medicare Case Management Program for selected participating medical groups. This program enhances the effectiveness of case managers by managing multiple chronic illnesses, overcoming psychosocial barriers, and managing advanced illness by providing such services in close colla ...
Provider Manual - Sanford Health
Provider Manual - Sanford Health

... and developing the requisite infrastructure for an outcomes-based health maintenance organization that would be recognized in the local marketplace and associated with quality health care. The result was the formulation of Sioux Valley Health Plan. In March 2007, Sioux Valley Health Plan changed its ...
JUNE 2015 Review of Dental Health Services
JUNE 2015 Review of Dental Health Services

... 1. An epidemiological survey recording the dental health of children 2. A review of States spending on dental services and benefits 3. Completion of a business case to deliver dental education 4. An implementation plan to deliver enhanced dental services This report provides a summary of the work th ...
the full report [PDF 1.1MB]
the full report [PDF 1.1MB]

... General practice is the cornerstone of NHS care, yet the demands placed upon GPs and their teams have never been greater. Primary care sees more patients than ever, with more complex needs; it offers a wider range of services; and it is seeking to maintain and improve ever higher standards of care. ...
Agitation - Uws.edu.au
Agitation - Uws.edu.au

... more confused than usual, more quiet than usual, seeing or hearing things that aren’t there? The residents could be constipated or have delirium, or other medical conditions; ...
VHA Handbook 1101.10
VHA Handbook 1101.10

... Section 17.38 of 38 CFR, is the regulation that authorizes the provision of the medical benefits package to enrolled Veterans. The medical benefits package is available to patients requiring clinically indicated health care that is needed to promote, preserve, or restore the health of the Veteran (a ...
participation agreement for freestanding or
participation agreement for freestanding or

... staff, Department of Defense personnel, Health and Human Services audit staff and DHA contractors, including contractor consultants, such as private sector accounting/audit firm(s). ...
Telehealth: Current Barriers, Potential Progress
Telehealth: Current Barriers, Potential Progress

... time is ripe to implement and utilize the health technology already available to remedy the problem.10 The implementation of the Affordable Care Act and resulting expansion of health insurance coverage is expected to increase provider shortages, and an increase in chronic diseases combined with an a ...
Commissioning Plan 2016-17 - Health and Social Care Board
Commissioning Plan 2016-17 - Health and Social Care Board

... health and wellbeing of the people of Northern Ireland within the available resources. The Plan has been developed in partnership by the Health and Social Care Board and the Public Health Agency, and responds to the Commissioning Plan Direction as approved by the Minister for Health, Social Services ...
Mass Medical Care with Scarce Resources  A Community Planning Guide
Mass Medical Care with Scarce Resources A Community Planning Guide

... events (e.g., pandemic influenza) or in situations in which several events occur simultaneously. Government agencies at all levels may be overstretched by multiple challenges and competing demands or have their ability to function degraded by catastrophic events. Hurricane Katrina, for example, demo ...
ch08b - SchultzMedic
ch08b - SchultzMedic

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Hemophilia in the 1990s: Principles of Management and Improved
Hemophilia in the 1990s: Principles of Management and Improved

... supervision gives patients with a rare disease access to knowledgeable experts in an efficient manner. Improved therapies can be instituted quickly. Centers are usually located within general hospitals, although some successful ones have been established in other settings. A fundamental requirement ...
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Conflict resolution in end of life treatment decisions: a

... All of these preventative strategies could potentially result in better management of the dying and reduced conflict at the EOL. However, there will always be a situation where, despite even the most effective preventative strategies, a seemingly irresolvable conflict arises. There are several possi ...
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Policies and Tools - Center to Advance Palliative Care

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End of Life Care in Advanced Kidney Disease: A Framework for

... receiving treatment by any of the modalities may enter a phase when there is concern that continued delivery of conventional care alone will not meet the person’s needs. Such patients require a holistic assessment of their needs in conjunction with their family and carers which may include advance c ...
Can Telemedicine Help Address Concerns with Network Adequacy? ACA Implementation—Monitoring and Tracking
Can Telemedicine Help Address Concerns with Network Adequacy? ACA Implementation—Monitoring and Tracking

... and use among physicians and patients. As one insurer noted, “Getting used to [the] telemedicine idea” is a challenge to expanding its overall use. “Telemedicine isn’t part of our training; it’s a whole new area,” stated a provider respondent. And another insurer found that its enrollees don’t tend ...
the patient-centered medical home neighbor the interface
the patient-centered medical home neighbor the interface

... Quality and safety are hallmarks of the medical home and are promoted through such practices as having patients actively involved in decision making, using evidence-based medicine and clinical decision-support tools to guide decision making, and expecting physicians in the practice to be accountable ...
Death and dying in children  pediatric terminal and post mortem care
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... been researched a lot lately, I have not found much literature or studies focusing only in the final days of life, when the death is expected to happen soon, as usually the studies concerned a longer time phase, like the whole palliative care process which can last for months. In Finnish this nursin ...
Providing Mass Medical Care with Scarce Resources
Providing Mass Medical Care with Scarce Resources

... disaster but will have sustained such serious illness or injury that they will live only for a relatively short period of time. In addition, there will be vulnerable individuals (e.g., the elderly, those sick in hospitals, nursing homes, the disabled, children) who may be negatively impacted by the ...
Final Program - WOCN® Society`s 49th Annual Conference
Final Program - WOCN® Society`s 49th Annual Conference

... to take this opportunity to forge new connections with clinicians and industry experts from around the world. The Joint Conference theme, Crossing Borders, Breaking Boundaries, highlights the importance of reaching beyond the constraints of our dayto-day clinical practice to achieve optimal outcomes ...
Review of the Nursing Homes Support Scheme, A Fair Deal
Review of the Nursing Homes Support Scheme, A Fair Deal

... assessment is carried out to determine the financial contribution that the individual should make towards the cost of their care. An individual’s contribution is based on their means, and the State, through the Health Service Executive (HSE), pays the balance of the costs in public, private and volu ...
National Home-Based Care Programme and
National Home-Based Care Programme and

... love and caring. The green, too, is significant. Green is regarded by many as the colour of hope. Thus the small emblem portrays an AIDS-stricken family surrounded by a heart full of hope and caring. That is the message of home-based care. Home-based care is an approach to care provision that combin ...
Care of Children with Kidney Disease.
Care of Children with Kidney Disease.

... upon the expertise of the many organisations represented in the Working Group, including input from patient and carer representatives. The result is a set of principles and standards against which those commissioning, providing and using the services may evaluate their own services. This work is clo ...
Minimum Health Services Delivery Package for Secondary Care
Minimum Health Services Delivery Package for Secondary Care

... Table 2: Speciality wise status across categories of secondary care hospitals in KP ...........31 Table 3: District Wise Approved Categorization of Hospitals ................................................32 Table 4: MHSDP-SC for Category A Secondary Care Hospitals................................ ...
Improved health system performance through better care coordination
Improved health system performance through better care coordination

... patients and ensuring they get the appropriate care for acute episodes as well as care aimed at stabilising their health over long periods in less costly environments. These issues are of particular interest to patients with chronic conditions and the elderly who may find it difficult to "navigate" ...
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Managed care

The term managed care or managed health care is used in the United States to describe a variety of techniques intended to reduce the cost of providing health benefits and improve the quality of care (""managed care techniques""), for organizations that use those techniques or provide them as services to other organizations (""managed care organization"" or ""MCO""), or to describe systems of financing and delivering health care to enrollees organized around managed care techniques and concepts (""managed care delivery systems"")....intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as Health Maintenance Organizations and Preferred Provider Organizations.The growth of managed care in the U.S. was spurred by the enactment of the Health Maintenance Organization Act of 1973. While managed care techniques were pioneered by health maintenance organizations, they are now used by a variety of private health benefit programs. Managed care is now nearly ubiquitous in the U.S, but has attracted controversy because it has had mixed results in its overall goal of controlling medical costs. Proponents and critics are also sharply divided on managed care's overall impact on the quality of U.S. health care delivery.
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